JENNIFER M JORDAN (NPI# 1316252513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316252513 |
| Entity Type | Individual |
| Full Name | JENNIFER M JORDAN |
| Credential | PSY.D. |
| Practice Address |
2200 Pacific Coast Hwy Suite 209 Hermosa Beach CA 90254-2757 |
| Practice Telephone | 3106982185 |
| Mailing Telephone | 3106982185 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26915 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | PSY26915 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169815 | Jennifer Luvenia Jordan | Driver | 701 Shady Meadow Ln, Glenn Heights, TX 75154-7923 | 2018-06-29 |
| 1427561372 | Jennifer Jordan | Nurse Practitioner | 4404 Tina Ln, Plant City, FL 33563-8518 | 2017-11-14 |
| 1588908669 | Jennifer Elaine Jordan | Acupuncturist | 29 Mountain View St, Oak View, CA 93022-9412 | 2012-11-15 |
| 1730440389 | Jennifer Jordan | Licensed Practical Nurse | 31 Scarborough Ln Ste B, Wappingers Falls, NY 12590-5151 | 2012-05-30 |
| 1487925772 | Jennifer Rush Jordan | Registered Nurse | 607 Main Street, Lansdale, PA 19446 | 2012-01-19 |
| 1851617575 | Jennifer Anne Jordan | Speech-Language Pathologist | 1315 Chesterpoint Dr, Spring, TX 77386-2567 | 2010-04-20 |
| 1366685984 | Jennifer Jordan | Speech-Language Pathologist | 3300 Jordan Oaks Dr, Efland, NC 27243-9812 | 2009-04-13 |
| 1144481862 | Jennifer Michelle Jordan | Chiropractor | 262 Boston Post Road, Unit #8, Waterford, CT 06385-2053 | 2008-06-25 |
| 1891816336 | Jennifer Ann Jordan | Licensed Practical Nurse | 6152 N Main St, Wilkinson, IN 46186-9640 | 2007-04-03 |
| 1841338209 | Jennifer Jordan | Marriage & Family Therapist | 624 E Grand Blvd Ste E, Corona, CA 92879 | 2007-02-01 |
| Street Address |
2200 PACIFIC COAST HWY SUITE 209 |
| City | HERMOSA BEACH |
| State | CA |
| Zip Code | 90254-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871562744 | Optc,inc | Physical Therapist | 2200 Pacific Coast Hwy, Suite 218, Hermosa Beach, CA 90254-2757 | 2006-03-14 |
| 1376163857 | Anat Sideman-schneider | Marriage & Family Therapist | 2200 Pacific Coast Hwy, Hermosa Beach, CA 90254-2757 | 2020-04-24 |
| 1285174920 | Kimberly Martins | Speech-Language Pathologist | 2200 Pacific Coast Hwy, Suite 210, Hermosa Beach, CA 90254-2757 | 2017-02-28 |
| 1578005641 | Sara Bayles | Marriage & Family Therapist | 2200 Pacific Coast Hwy, Suite 209, Hermosa Beach, CA 90254-2757 | 2016-11-07 |
| 1841742053 | Ronald James Thomas Jr. | Marriage & Family Therapist | 2200 Pacific Coast Hwy, Hermosa Beach, CA 90254-2757 | 2016-11-04 |
| 1558712927 | Adriana Gomez | Speech-Language Pathologist | 2200 Pacific Coast Hwy, Hermosa Beach, CA 90254-2757 | 2016-06-28 |
| 1801285127 | Shoreline Speech Therapy and Language Center | Speech-Language Pathologist | 2200 Pacific Coast Hwy, Ste 210, Hermosa Beach, CA 90254-2757 | 2015-01-12 |
| 1407165301 | Scarlett Joan Aufmann | Counselor | 2200 Pacific Coast Hwy, Suite 304a, Hermosa Beach, CA 90254-2757 | 2010-09-27 |
| 1124343538 | Cinnamon Howard Cornwell | Marriage & Family Therapist | 2200 Pacific Coast Hwy, Suite 304-a, Hermosa Beach, CA 90254-2757 | 2010-03-30 |
| 1184851511 | Susan J. Mcmaster | Marriage & Family Therapist | 2200 Pacific Coast Hwy, Suite #201, Hermosa Beach, CA 90254-2757 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
| 1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
| 1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
| 1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
| 1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
| 1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
| 1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
| 1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
| 1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
| 1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
| Find all providers in zip 90254 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457608804 | Mellow Psychological Services, Inc. | Psychologist | 200 Pier Ave, Suite 424, Hermosa Beach, CA 90254-3608 | 2012-08-04 |
| 1962508820 | Lucy Caswell Papillon | Psychologist | 2309 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254-2752 | 2006-09-16 |
| 1336174507 | Patricia Baltazar | Psychologist | 2615 Pacific Coast Hwy, Suite 204, Hermosa Beach, CA 90254-2225 | 2006-07-12 |
| 1326031683 | Carol G Weiss | Psychologist | 1001 Hermosa Ave, Hermosa Beach, CA 90254-3781 | 2005-08-23 |
| 1750853966 | Robert Harley Rutman | Psychologist | 2200 Pacific Coast Hwy Ste 207, Hermosa Beach, CA 90254-2701 | 2018-12-28 |
| 1659897650 | Natalie Gail Pujo | Psychologist | 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254-2714 | 2017-08-21 |
| 1841601473 | South Bay Child and Family Therapy, Inc. | Psychologist | 1601 Pacific Coast Hwy Ste 290, Hermosa Beach, CA 90254-3283 | 2014-05-16 |
| 1972932325 | Rebecca Mckeen | Psychologist | 703 Pier Ave, #153, Hermosa Beach, CA 90254-3949 | 2013-11-06 |
| 1891132072 | Kelly Mothner | Psychologist | 2401 Pacific Coast Hwy, Suite 102, Hermosa Beach, CA 90254-2736 | 2013-05-29 |
| 1154695765 | Shari Mowlavi Giti | Psychologist | 1601 Pacific Coast Hwy Ste 290, Hermosa Beach, CA 90254-3283 | 2012-02-29 |
| Find all providers in HERMOSA BEACH | ||||
| City | HERMOSA BEACH |
| Zip Code | 90254 |
Please comment or provide details below to improve the information on JENNIFER M JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.